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News & Journal published by Institution of Safety Engineers (India) Vol. No. 2, Issue 3, July-September, 2019
www.iseindia.in | 1
International Journal of Institution of Safety Engineers India Volume-2, Issue-3, July-September 2019; Available online at www.iseindia.in
Institution of Safety Engineers (India)
“Aim to prevent Accident, Protect Environment & Minimises Losses during disaster”
www.iseindia.in
About us: Institution of Safety Engineers (India) is established in year 2012 under ZJEW Trust,
Registered under Public Trust Act in India, Govt. Registration No. 5240 with objective to prevent
accident, Protect Environment & minimise Losses during Disaster. Institution of Safety Engineers
(India) is An ISO 9001:20015 certified institution and working to save Natural resources & control
pollution. ISE (India) imparting EHS related Training to society and needy people for creating
employment opportunities.
Services: Institution of Safety Engineers (India) provides Services to Industries, organization,
Institution or needy related to Safety Health Environment & Quality. Such Services help to Control
Risk at work place, Protect environment, improving Quality & Safety performance in Organisation.
Highly Qualified, Skilled & Experienced Professional perform such Task from Institution of Safety
Engineers (India) ends. Services Provide by Institution of Safety Engineers (India) is here under:
• Services for ISO Auditing & Certification (ISO 9001:2015, ISO 14001:2015, ISO 45001:2018,
ISO 45001:2018) etc.
• Developing safety Manuals, poster, banner, sticker, Pocket booklet.
• 3rd Party Safety Health Environment Quality (SHEQ) Audit, Training, Inspection,
Environmental monitoring, Testing & examination of Tools, Tackles, equipments, structures etc.
• Consultation services for Emergency Plan, DMP, QAP, EIA, EMP, EC, Waste Mgt. Plan,
HAZOP Study, Fire Load calculation & survey, Lightning Protection Study, Safety Mgt. Plan
etc.
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News & Journal published by Institution of Safety Engineers (India) Vol. No. 2, Issue 3, July-September, 2019
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Training: Institution of Safety Engineers (India) Conduct Short Term Training to create awareness
among people to work for Preventing accident, Protecting Environment, minimizing losses during
Disaster and create employment opportunities as EHS professional. Job oriented and short term
Training Courses conducted by Institution of Safety Engineers (India) are:
• ISE-SM (Safety Management at work place), 24 Hours Duration.
• ISE-ICCOHSEM (International Certificate Course in Occupational Health Safety &
Environmental Mgt.), Duration 96 hours.
• ISE-IDOHSEM (International Diploma in Occupational Health Safety & Environmental Mgt.),
Duration One year.
• ISE-TQM (Total Quality Mgt.), Duration 24 hours.
• Integrated Lead Auditor (ISO 45001:2018, ISO 14001:2015, ISO 9001:2015), Duration 6 days
& Lead Auditor (ISO 45001:2018,), Lead Auditor (ISO 14001:2015) & Lead Auditor (ISO
9001:2015), Duration 30 hours each.
• Post Diploma Industrial Safety, Duration One year.
• Diploma in Industrial Safety/ Fire/ Environment, Duration One year.
Apart from this Institution of Safety Engineers (India) conduct Training on Topics like BBS, HAZOP
Study, SHE legislation, First Aid etc. For more Details visit www.iseindia.in
Membership: Institution of Safety Engineers (India) also invites application for Membership. Member
will be eligible to use Title SMISE/MISE/JMISE/IMSE/CMISE before their Name and receive
quarterly published Journal, newsletter and latest information related to Safety, Health, Environment &
quality. Different research paper will also share with member that will help to identifying and
improving Occupational health, Safety, Quality & Environmental performance in organisation. Member
will be eligible to publish their article/ journal free of cost.
For more Details visit www.iseindia.in/membership
Journal & Publication: Institution of Safety Engineers (India) published Journal Quarterly online on
name of International Journal of Institution of Safety Engineers India (IJISEI) and share with member
and needy. Institution of Safety Engineers (India) accept Article/ Journal from professional and editing
team review to article and in case of shortlisted, it published in International Journal of Institution of
Safety Engineers (India).Institution of Safety Engineers (India) issue Journal publication certificate to
author. For more details mail [email protected]
Award: To promoting Safety Health Environment & Quality Management System in organization,
Institution of Safety Engineers (India) accept application and reward to elected person, organisation &
Institution.
***
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News & Journal published by Institution of Safety Engineers (India) Vol. No. 2, Issue 3, July-September, 2019
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International Journal of Institution of Safety Engineers India Volume-2, Issue-3, July-September 2019; Available online at www.iseindia.in
This Issue Journal Include
▪ V2-I3-1-1 Accident investigation at workplace
▪ V2-I3-1-2 HAZOP study in Process Industries
▪ V2-I3-1-3 Effective Safety Management system in Industries
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Accident Investigation at work place Mr. Nizam Ali, B.E (Instrumentation & Control Engineer.) from Anna University, MBA from IIBMS, DIS
from Annamalai University, MIIRSM (UK), SMISE (IN), NEBOSH-IGC, Lead Auditor in ISO 9001:2015, ISO
1400:2015, ISO 45001:2018 & Lead - Department of HSEQ, Power Economy Middle East Co LLC, Abu Dhabi,
United Arab Emirates.
Email id: [email protected]
Abstract
Every day several accidents occur in this world due to human failure, Mechanical failure or poor work
environment. To prevent similar accident or incident, A effective accident investigation must be carry
out. Accident investigation is a Techniques used to analyse and find root cause of any accident.
Accident investigation is also known as hazard identification techniques. In this articles details
information are included about investigation method & reporting procedure. This article is very helpful
to learn and use effective approach to investigate any incident and accident.
Objective
» To find out cause of an accident
» Identify cost of accident
» Fulfilling Legal requirements
» To identify failure and seeking opportunities to improve Safety management system
» Implementing to recommendation within whole organization to prevent similar future accident
Key word: Accident Investigation, Cause of Accident, Chain of event, immediate cause and root
cause, Accident investigation procedure, Accident investigation report Preparation method.
1. Types of accident
Lost Time Injury:
» Fatality
» Permanent Total Disability
» Permanent Partial Disability
» Lost Work Days Case
Serious Injury
Serious Occupational illness / Diseases
Serious Dangerous Occurrence
Restricted Work Case
Medical Treatment Case
First Aid Injury
Equipment / Property Damage
2. Accident Investigation
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Accident investigation is a process used to identify causes of accident and ensuring their corrective
measure to prevent similar future accident. Accident Investigation always helps to control work
place risk to learn from past Accident. Based on Accident investigation report, organization take
necessary action to minimise workplace risk As Low as Reasonable Practicable (ALARP). Accident
Investigation is effective Method used to determine the underlying causes of accidents and such
information used to ensure effective recommendation for taking preventive action to avoid any
future accident.
Accident investigation should be carried out by competent person as per regulatory requirement and
in consultation with relevant stakeholder. The accident investigation report should be submitted to
the organization for their effective implementation. Investigation not carried out to blame any
person, it is carried out to identify gaps of failure and improve safety management system within
organisation. Blame culture always develop negative behaviour among employees and it create poor
safety culture. Accident Investigation is ineffective unless all causes are determined and corrected.
So accident investigation should be carry out effective manner to find out all root cause and
ensuring adequate recommendation to prevent similar future accident. Immediate and root cause are
two major factor of cause of accident or incident. Effective investigation will help to identify
immediate and root causes of accident and ensure their corrective measure to prevent future
accident.
3. Term & Definition
Near Miss : Near misses (or near hits) are any form of incident that could
have resulted in injuries or loss but did not. Example A worker
runs into the workshop and stumbles, but regains his balance
and carries on unharmed.
Hazard : Source or situations that have potential to harm. Naked Power
cable, Un-Guarded rotating parts, Slippery floor are few
example of Hazard.
Incident : Hazardous event where no harm occur.
Accident : Any undesired event that create injury, Fatality, property
damage, Environment damage, Harm to environment or
combination of these.
Injury : Harm to a person or living thing due to accident. It include
cuts, fracture, bruises, wound, punctured skin etc.
Occupational
Disease
: An occupational disease is a disease or disorder that is caused
by the work or working conditions. Noise induce hearing loss,
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Silicosis, Asbestosis are few example of occupational diseases.
Disaster:
: Accident or a natural catastrophe that causes huge damage,
destruction, loss of life or Environmental loss. Disaster may be
man-made or natural.
Major Fire, Floods, Tsunami, Bursting of Chemical tank, Huge
losses due to sudden toxic gas release are few example of
Disaster.
Dangerous
occurrence:
: Any occurrence of serious nature that could have the potential
of death or serious injury but did not.
Environmental
damage
: Any activity that effect (either directly or indirectly) to
environment and it cause of Pollution, deforestation,
overconsumption, overexploitation of natural resources.
4. Accident causation Theory
Unsafe Act & unsafe Condition is basic cause of any accident. When both conjugate at one point,
accident happened. In other words, Human and mechanical failure are cause of an accident.
It is very important to investigate Near-miss case, to minimize or control accidents in future. The
accident ratio studies and their limitations are defined in the below accident triangle.
Event
Unsafe Act
Sub-Cause I Sub cause II Sub-cause II
Unsafe Condition
Incident/ Accident
Sub-Cause I Sub cause II Sub-cause II
Figure 4 (a) Unsafe Act and Unsafe Condition
Model
Major or lost time
Minor
No injury accident
1
29
300
Figure 4 (b) Heinrich triangle
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4.1 Chain of Event
5. What to investigate during investigation?
Any Accident that caused personnel injury, Property damage or harmed to organization must be
investigate. Near miss like incident also investigates to find causes and taking necessary action to
avoid any future similar accident. Following are few category of Incident/accident that should be
investigated.
» Near Miss
» Injury
» Accident (Minor, Major & Fatal)
» Occupational Disease/ Illness
» Disaster
» Dangerous occurrence
» Environmental damage
6. Who should investigate?
Accident can be investigate by any people that have good knowledge and adequate experience in
field of Accident investigation & reporting field. Major accident should be investigate by group of
people of organisation. Organisation should form Committee for effective Accident Investigation.
Members of the Accident investigation team can include:
» Employees with good knowledge & experience in field of investigation
» Supervisor of the work area
Lack of Control
Unsafe Act + Unsafe condition
Event
Accident, Property/ Environment damage, Organizational loss
Consequences
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» safety officer/Manger
» Safety committee Member
» "Outside" experts
» Representative from respective state government authority
» union representative, if applicable
Some Investigation must be conducted jointly with Organization team and government authority.
Organisation must follow safety rules of respective state or country and on based on this they should
conduct investigation.
7. Stage of Accident investigation
Stage I: Immediate action
In case of Accident Happen, Immediate action must be taken and it include, making the area Safe,
Preserving the scene, Notifying to relevant authority/ Person and Sending the victim for Aid.
Stage II: Plan the investigation
In second step, plan for investigation and Team to be formed to investigate the accident. We
consider all resources that required for investigation and time required to complete investigation.
For Major Accident, form Team of Two or more people for effective investigation.
Stage III: Data collection/ Gathering information
Collect Data from different sources to visit & capture Accident Location, Witness and Checklist.
For gathering information Ask, question with witness. We can ask question with victim.
Investigation Team ask Question in similar way
» What happen?
» When did happen?
» Why did happen?
» How did happen?
» Where did happen?
» Who was involve?
Investigation Team can collect Incident related information through different sources like checklist,
Operation safety manual, Manufacturer manual, MSDS etc.
Stage IV: Data analysis
In this step, we analyse the data. Accident is chain of event investigation team identify the sequence
of event and identify human and mechanical failure in each event. Identify all influencing factor that
lead to cause of human error. When asking question always uses correct way and it should not show
that Failures happen by themselves/victim. So avoid asking such question that raise blame like
statements. Need to identify root & underlying causes in effective ways and it should be record.
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Stage V: Corrective actions
Corrective action must be ensuring on based of identified cause of accident. Adequate corrective
action must be use as recommendation.
Stage VI: Report Preparation, Reporting& Follow up
Prepare report with finding and effective corrective/ Preventive action to avoid similar future
accident. Communicate to investigation report within organisation through email, discuss in
meeting, share case study in training to aware to the organisation people. Report section should be
including:
Section I Brief Details of
Incident/Accident
In this section Write down Name of Victim, Date & Time of
Accident, Age, Designation, Location of Accident, Type of
Accident (First Aid, Minor, Major, Fatality, Near miss,
Dangerous occurrence etc), Injured body parts (such as head,
hand, foot or multiple injury) etc.
If any point not applicable, Write down not applicable.
Section II Accident
Summary
In this section, brief summarise to accident. Summary Include
how accident happen and What was person doing during
accident.
Section III Sketches
Draw Sketch of Accident Location, equipment and Victim
body parts.
Section IV Cause of
Accident
Identify cause of Accident. Causes of accident should be
categorized in Immediate cause and Root cause. Team must
be clearly identified to Immediate & Root cause of accident.
Immediate cause The cause that directly resulted in an accident
An immediate cause is defined as acts (Unsafe act) or
conditions (Unsafe Condition) that lead directly to the
accident. These might be unguarded rotating part of machine,
Employee error, Non-use of personal protective equipment,
lack of concentration, Fatigue, stress and poor housekeeping.
Root Cause The root or underlying cause is a condition that allowed to
developed immediate cause such as poor safety culture, Poor
management commitment.
Section V Witness Write down Witness name, Designation and their statements.
Section VI Recommendation
Write down effective recommendation as per observed cause
and strictly implementation to be ensure to prevent similar
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future accident.
Investigation team can add additional section such as name of Investigation team members, their finding
and comments etc in the report.
8. Summary
Every day several accidents occur in this world due human failure and Mechanical failure and to
prevent similar future accident, need to carry out effective accident investigation. Organisation should
use effective approach to identify all causes of accident. For effective investigation Team member must
be good knowledge and experience in field of accident investigation. Effective investigation determines
many factor such as what happened, how happened and how to control similar future accident. An
accident investigation technique involves gathering and analyzing facts of accident and developing plan
with recommendation to prevent similar accident. Accident Investigation is ineffective unless all causes
are determined and corrected.
References
▪ Evelyn Ai Lin Teoa and Florence Yean Yng Linga (2006) “Developing a model to measure the effectiveness of safety
management systems of construction sites”, Building and Environment 41, pp.1584–1592.
▪ Natassia Goode et al. “Injury causation during hiking activities: a systems analysis of reports from the NZ National
Incident Database”. In: Future faces: Outdoor education research innovations and visions (2013)
▪ Safety Management system in construction industries, Shahnawaz Rampuri, IJSEI, International Journal of Institution of
Safety Engineers (India) Volume 1, Issue 1,Jan-Mar 2018
▪ Choudhry, R.M.; Fang, D; Lingard, H. Measuring safety climate of a construction company. J. Constr.Eng. Manag.
2009, 135, 890-899.
▪ Study & analysis of occupational health safety management system (OHSMS) in organisation: a review nair. J sindhu,
2shahnawaz rampuri, International Journal of Exploring Emerging Trends in Engineering (IJEETE) vol. 04, issue 01,
Jan-Feb, 2017 pg. 34 - 39 www.ijeete.com , ISSN - 2394-0573
▪ Fluorouracil Incident Root Cause Analysis. Tech. rep. Institute for safe medication practices Canada, May 2007.
▪ Rachel A. Haga, Joseph H. Saleh, and Cynthia C. Pendley. “Reexamining the titanic with
current accident analysis tool: Multidisciplinary eduation and system safety primer for engineering students”. In: IEEE
Global Eng Edu Conf , EDUCON IEEE Global Engineering Education Conference, EDUCON (2013).
▪ Jonas Lundberg, Carl Rollenhagen, and Erik Hollnagel. “What-You-Look-For-Is-What- You-Find – The consequences
of underlying accident models in eight accident investigation manuals”. In: Safety Science 47.10 (Dec. 2009), pp. 1297–
1311. issn: 0925-7535.
▪ Andreas Lumbe Aas. “Probing Human Error as Causal Factor in Incidents with Major Accident Potential”. In: 2009
Third International Conference on Digital Society. 2009.
▪ Daniela Karin Busse. “Cognitive error analysis in accident and incident investigation in safety-critical domains”. PhD
thesis. University of Glasgow, 2002.
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▪ A. Herrera and R. Woltjer. “Comparing a multi-linear (STEP) and systemic (FRAM) method for accident analysis”. In:
Reliability Engineering and System Safety 95.12 (2010), pp. 1269–1275. issn: 0951-8320.
▪ Jacques Leplat. “Accident analyses and work analyses”. In: Journal of occupational accidents 1.4 (1978)
▪ XueYuan Niu et al. “An accident analysis of a smart substation”. In: China Int Conf Elect Distrib , CICED China
International Conference on Electricity Distribution, CICED 2014-December (2014), pp. 992–994. issn: 2161-7481.
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Hazard and operability (HAZOP) Study in Process industries
Mr. Shahnawaz Rampuri, CEng., M.Tech From BIT Durg, PDIS from RLI, AMIE, B.Tech, ADOHSEM, SMISE,
NEBOSH-IGC with 14+ yr Experience as EHS professional
Email id: [email protected]
Abstract
In every year several accident occur in process industries due to Failure of pipe lines, equipment,
system or existing process facility and it results hazardous chemical leak, fire, explosion , rupture or
damage to existing system. Such accident occurs in Process industries due to availability of process
related potential source of harm and this is known as hazard. To identify process related hazard is
challenging job for everyone and later such hazard may lead to cause of accident. Result of accident is
injury, fatality, property damaged, damage to environment or combination of these together.
In industries, Hazard identification & Risk assessment, Checklist based inspection, Job safety analysis
like different techniques is used to identify hazard in which one Technique is Hazard and operability
(HAZOP) study. HAZOP is very effective safety tool used to identify process related hazard. This article
is very helpful to learn the HAZOP study procedure, identify process related hazard and ensuring their
risk management to prevent any possibility of failure of pipe lines, system or equipment or existing
process facility. This articles help to know the procedure to conduct effective study and prepare HAZOP
study report.
Key word
Process Hazard identification, Process safety, Operational hazard finding, Operational Risk control,
Design intention, Guide word, Deviation, Consequence
Objective of HAZOP study
To check a design & system
Identify Process hazard.
Identify Causes of Deviation & evaluate to consequence of Deviation
To decide whether and where to build
To identify gap in existing facility that may cause of operational failure.
To improve the safety of existing facilities
Prevent to failure of Process facility, existing system and equipment.
1. Introduction
In process Industries, Failure of system or existing facility cause huge losses to organisation and such
failure occur due to deviation of pressure, Temperature, flow like parameter. Such deviation is known
as hazard and different method used to identify process related hazard in which one method is Hazard
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and operability (HAZOP) study. A HAZOP study technique is used to identify process or operational
hazards and operability problems. In industries, every day several injury occur, huge loss of
organisation due to minor operational failure and such failure occurs due to not taking adequate control
measure to eliminate hazard or minimise process related risk As Low as Reasonable Practicable .
Hazard and operability (HAZOP) study is detailed examination of existing process or operation in order
to identify and evaluate the potential sources of harm that may lead to cause of equipment or system
failure and it result injury, equipment damage, disaster or any harm. A HAZOP study is performed by
multidisciplinary team members including operational managers, Engineers, Chemists, safety
professional, Hygienist and other experts to identify process related hazards, Process related risk and
design flows. Concept of HAZOP involve how plant might be deviate from the design intent and if
process related problem identify during study then team try to find out effective solution to prevent
deviation/ operational failure. Prime Objective of HAZOP study is to identify process related
deviation/problem. HAZOP is based on several expert views with different background, work together
or separate to identify problem and at ends of their work, they combined result together to interact each
other. Guide word is main component of HAZOP study. For HAZOP study, firstly there is need to
Team formation with expertise in their field. The success or failure of the HAZOP study depends on
several parameters:
▪ Accuracy of P & I diagram and other available data such as operational manual, MSDS of
chemical etc that will be used during study.
▪ Team member Competence, Experience & Skill
▪ Knowledge about Process or operation & process hazard
▪ Ability of team member thinking/brainstorming to evaluate deviations, causes and
Consequences
▪ Effective Report and risk communication.
▪ Effective implementation to recommendation as per HAZOP study report.
2. Method of HAZOP study
Definition, Preparation, Examination, Report and follow are its main phase of HAZOP study.
2.1 Phase in HAZOP Study
Phase I: Definition
In This phase, clearly define and mention Aim & objective of HAZOP study. Team selection is carried
out and one Team member will be act as leader. Role and responsibility should be clearly define and
assign to each team member. HAZOP team including different person with a variety of expertise such
as operations, Production, maintenance, instrumentation, engineering/process design, Chemical
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engineer / Chemist, Safety other specialists as needed. They should be good knowledge about process
and variation. Following are few examples of guide word and deviation:
Parameter Guide word Deviation
Pressure More, less More Pressure, Less Pressure
Temperature More, Less More Temperature, Less Temperature
Flow More, Less, None,
Reverse, other, also
More Flow, Less Flow, No flow, Reverse flow,
other flow, Contamination
Viscosity More, Less More Viscosity, Less Viscosity
Reaction More, Less, None Intense reaction, reaction incomplete, No reaction
Corrosion Corrosion of tube Damage to tube
Phase II: Preparation
In this Phase, HAZOP team prepare plan to conduct study. This typically includes piping and
instrument diagrams (P&ID) or process model and examine every section and component of process to
use guide word by HAZOP team. For each element, HAZOP team identify operating parameter of
system that may lead to deviate to system or existing process facility such as Pressure, Temperature,
Flow Rate etc. Target also define to complete study within certain time frame and team mutually agree
and decide the way to record collected data.
Phase III: Examination phase
In this Stage, HAZOP team Select the System and divide into different parts, define design intent in
each part. Team will identify probability of deviation to use guide word, deviation Consequence and
cause of deviation. All finding and data will be recorded and agreed action will be noted. Team will
select effective recommendation/ possible control measure to avoid developing any deviation to protect
to existing facility and system. A simple format of HAZOP study is given below
Format for HAZOP study
Name of equipment:
Guide word Deviation cause consequence Action
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Phase IV: Report & Follow up
In this stage, All HAZOP study examination related data should be recorded and Final report will be
prepared and Submit to Management or concern department to implement action/recommendation as
per study report. Team member should follow up regularly and check that requested action/
recommendation is implemented or not. Plan and conduct HAZOP study at regular interval to identify
deviation and taking needful action for safety of Process plant and existing facility for continual
improvement.
2.2 Phase of HAZOP Study
.
Phase II: Preparation
▪ Plan the HAZOP study
▪ Collect to data
▪ Decide way to data recording with Team.
▪ Identify Target to complete study
▪ Plan the schedule for study
Phase IV: Report and follow-up
▪ Record to HAZOP study examination with signature of Team members
▪ Re-study any parts of system whenever necessary.
▪ Prepare Final HAZOP study report
▪ Submit the HAZOP studies Report to Management or concern depart. and
request them to implement action as per study report.
▪ Follow up and check time to time that requested action is implemented or not.
▪ Plan and conduct HAZOP study at regular interval of existing system for
continual improvement.
Phase III: Examination Phase
▪ Select to system and divide into parts
▪ Select a part and define design intent
▪ Identify deviation to use guide word of each element
▪ Identify consequences of deviation
▪ Identify Deviation cause
▪ Identify whether a significant problem exists
▪ Identify existing control measure and indicating mechanisms
▪ Identify recommendation/ possible control measure to avoid developing any
parameter that may lead to cause of failure
▪ Agreed action by Team members
▪ Repeat to process to select parts, define intent, identify deviation to use
guideword, identify Consequences and deviation causes and decide action for
each element and then each parts by HAZOP team.
Phase I: Definition
▪ Define scope and objectives
▪ Team selection
▪ Identify role & responsibilities
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2.3 HAZOP Study Report of Heat exchanger
A Heat exchanger is considered for HAZOP
study. Flow, Pressure, Corrosion,
contaminants are consider parameter. More
Less, corrosion, Contaminant is considers
guide word. On based on this is study carried
and report prepared.
Guide word Deviation Causes Consequences Action
More Flow
(More cooling
water Flow)
Cooling water
valve failure
Process fluid
Temperature
decrease
Provide Temperature
Gauge & Low temp.
Alarm
Less Flow
(Less cooling
water Flow)
Blockage of pipe Temperature
remains constant
of Process Fluid
Provide High
Temperature alarm
More Pressure (More
pressure on Tube
Side)
Failure of Process
Fluid Valve
Brusting of Tube Installing High
Pressure alarm
corrosion Corrosion of
Tube
Hardness of
Coolling water
Crack of Tube and
less Cooling
Inspection & Proper
maintenance
Contamination Contamination of
Process Fluid
Line
Leakage of Tube
and cooling water
goes in
Contamination of
Process Fluid
Proper maintenance &
Operator Alert
3. Result & Discussion
In this Heat exchanger Fig. 2.3, more, less, Corrosion, contamination like guide word is used to identify
deviation, Deviation causes and consequences of deviation. In Heat exchanger, more flow of fluid may
be cause of Valve failure and it results decreases of Fluid temperature, less flow of fluid may be
blockage to pipe and it results Failure to pipe. Similarly Corrosion may be cause of hardness to cooling
water and damage to tube of heat exchanger, Contaminates may be contaminate to fluid and it result
leakage of tube. On based on these, team ensure effective recommendation to prevent deviation and
save to equipment and system from any failure. Team imagine the probability of deviation and imagine
consequence of deviation. On based on this, they ensure remedial measure. Pressure gauge, High
temperature alarm, regular inspection and maintenance are few actions are recommended to prevent
catastrophic event. HAZOP team member recorded their observation and team members take jointly
decision of examination to finalise the report.
Conclusion
HAZOP is very effective way to identify process related hazard and ensuring effective control measure
Fig. 2.3, Heat exchanger
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to protect to System or existing facility. Some time existing facility parameter such as pressure,
Temperature increase or decrease or deviate due to operability problem and it results equipment
damage, failure to system or any major accident. To prevent similar accident, HAZOP study is carry out
to examine the system, identify deviation to use guideword, identify Cause of deviation, imagine to
consequence of deviation and based on observation, Team ensure recommendation to avoid any future
accident.
References
▪ Center for Chemical Process Safety, Guidelines for risk based process safety, New York: American Institute of
Chemical Engineers, 2007.
▪ Study & analysis of occupational health safety management system (OHSMS) in organisation: a review nair. J
sindhu, 2shahnawaz rampuri, International Journal of Exploring Emerging Trends in Engineering (IJEETE) vol. 04,
issue 01, jan- feb, 2017 pg. 34 – 39 www.ijeete.com , ISSN – 2394-0573
▪ Kitajima T, Fuchino T, Shimada Y, Naka Y, Yuanjin L, Iuchi K, Kawamura K. A New Scheme for Management-of-
Change Support Based on HAZOP Log. COMP AID CH 2010; 28: 163- 168.
▪ B. K. Vaughen and T. A. Kletz, “Continuing our process safety management journey,” Process Saf. Prog., 2012, vol.
31, pp. 337-342.
▪ Mata JL, Rodriguez M. HAZOP studies using a functional modeling framework COMP AID CH 2012; 30:1038-
1042.
▪ Jeerawongsuntorn C, Sainyamsatit N, Srinophakun T. Integration of safety instrumented system with automated
HAZOP analysis: An application for continuous biodiesel production. J Loss Prev Process Ind 2011; 24 (4): 412-419.
▪ Dunjo J, Fthenakis V, Vílchez JA, Arnaldos J. Hazard and operability (HAZOP) analysis. A literature review. J
Hazard Mater 2010; 173 (1–3): 19-32.
▪ Bartolozzi, V., L. Castiglione, et al. (2000). "Qualitative models of equipment units and their use in automatic
HAZOP analysis." Reliability Engineering & System Safety70(1): 49-57.
▪ S. Q. Shan, Q. H. Zhao, and F. Hua, “Impact of quality management practices on the knowledge creation process:
The Chinese aviation firm perspective,” Comput. Ind. Eng., 2013, vol. 64, pp. 211-223.
▪ Vaidhyanathan, R., V. Venkatasubramanian, et al. (1996). "HAZOPExpert: An expert system for automating HAZOP
analysis." Process Safety Progress15(2): 80-88.
▪ Bartolozzi, V., L. Castiglione, et al. (2000). "Qualitative models of equipment units and their use in automatic
HAZOP analysis." Reliability Engineering & System Safety70(1): 49-57.
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News & Journal published by Institution of Safety Engineers (India) Vol. No. 2, Issue 3, July-September, 2019
www.iseindia.in | 18
Effective Implementation of Safety Management system (SMS) in Industries Mr. Ripan Kumar Nayak, B.Tech, PDIS RLI-Kol, ISE-ICCOHSEM, SMISE, AM Safety-Usha
Martin Ltd., Ranchi
Email id: [email protected]
Abstract
Effective implementation of Safety Management system (SMS) is very important for every industry.
Ineffective implementation of Safety Management system (SMS) always causes of organisational harm
and it results injury, property damage, poor organisation reputation etc. Effective Safety Management
system helps to prevent industrial accident and increase productivity. The main objective to
publish this paper is to analyse the effective safety management system in industries to minimise
the Risk and prevent any harm that occur inside industries.
Keywords: Safety Management system (SMS), Element of Safety Management System, Effective
method to implement SMS, Benefit of safety Management system
Objective:
▪ Help to create safe Healthy work environment
▪ Reducing work place injury
▪ Increasing business opportunities
▪ Increasing moral of employees
▪ Protection from prosecution by legal authority
▪ Provide measurable systems for verifying Safety performance & finding opportunities for
improvement.
▪ Enhancing organisation reputation.
1. Introduction
Safety management system (SMS) is systematically and effective approach to managing health and
safety risk at workplace in industries. Effective Safety management system helps to minimise risk as
low as reasonable practicable (ALARP) & creating safe healthy work environment. SMSs help to
improve safety performance. As per The Factories Act 1948, Occupier is responsible to take all
practicable steps to ensure safety of their employees and associates. Occupier means, a person that have
ultimate control over the factories. As per The Building and Other Construction Workers’ (Regulation
of Employment and Conditions of Service) Central Rules 1998, Employer is responsible to ensure
safety of employees and associates. Good health and safety management practices encourage higher
staff retention and increased productivity.
Safety Management system (SMS) plays vital role to create safe healthy work environment and improve
organisation safety performance. Organisation means industries and it may be process industries or
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News & Journal published by Institution of Safety Engineers (India) Vol. No. 2, Issue 3, July-September, 2019
www.iseindia.in | 19
production industries or construction industries or other nature of industries. Organisation always
effect due to poor SMS system and at current scenario effective SMS required for every organisation to
manage SMS at workplace and growing their business. Now Numbers of governmental and non-
governmental organisation working in field of Safety to protect the environment as well as human
beings. Safety is important because it protects to person, organisational property & Environment. SMS
help to increase profitability of any organisation and help to protect from prosecution, maintain good
relation with stakeholder. Management, Legal and Social point of view effective SMS required on
priority basis for every organisation.
Number of Accident Cases (Source National crime record bureau-India)
2. Elements of Safety Management System (SMS)
Following are element of Safety Management System (SMS) that is used to control work place risk in
industries:
▪ Management commitment & Safety Policy
▪ Planning
▪ Implementation & operation
▪ Checking & corrective action
▪ Management Review
▪ Continual improvements
When all elements integrate together and implemented properly then workplace became safe and no
any event occurs or less probability of injury except natural calamities. To make Disaster plan and its
execution in proper manner can minimize severity of harm that arises due to natural calamities like
earthquake, cyclone, tsunami etc.
26
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3
24
98
7
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20
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7
91
49
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88
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37
1
98
23
26
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27
64
30
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55
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0
13
23
2 0 1 0 2 0 1 1 2 0 1 2 2 0 1 3 2 0 1 4
N O S . O F A C C I D EN T Y EA R W I S E
Accidental fire
Electrocution
Collapse of structure
Accidental explosion
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www.iseindia.in | 20
Safety management system (SMS)
Safe work place means, Risk is minimise as Law as reasonable practicable (ALARP) at workplace. Risk
is combination of likelihood and consequences of specific hazardous event occurring. Hazard is source
or situation that have potential to cause harm. In simple SMSs means workplace hazard are identified
and adequate control measure is to be taken to prevent accident or any harm. Effective SMS help to
prevent incident, increasing moral of employee and maintain good relation with stakeholders.
Following are steps to an effective SMS and these steps form a continual cycle of SMS performance
improvement in a organisation.
2.1 Top management commitment and Safety policy
Safety policy is Top management commitment for getting their intent to achieving safety related
objective and target. Policy is finalised on based on organisation safety objective. It should contribute
all aspects of business performance as part of a demonstrable commitment to continual improvement
and the development of human factors including the culture, attitude and beliefs within the organization.
The organization’s top management should set in place procedures to define, document and endorse its
Safety policy. This policy statement should be signed and dated by the top Management person with
responsibility of Safety. Depending on the type of organization and risks associated with the
organization’s operations, the policy statement might need to be briefed in more detail. Objective,
Target should be measurable with Role & responsibilities to manage safe work place easily inside
organisation.
The Safety policy and its statement should be reviewed periodically and revised by top management.
Management commitment
Safety Policy
Management review
Planning
Implementation &
operation
Continual improvement
Checking & Corrective
action
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News & Journal published by Institution of Safety Engineers (India) Vol. No. 2, Issue 3, July-September, 2019
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whenever required and necessary action should be taken to improve Safety performance. Safety policy
whenever required and necessary action should be taken to improve Safety performance. Safety policy
should be communicated to all person at their work place and concerns interested parties for improving
safety performance. Organisation should be define role & Responsibility and should be clear and safety
task to be allocated to all individuals for getting organisation objective with in time frame.
2.2 Planning
Planning shows how to deliver Safety policy for getting organisation objective within time frame. It is
integral parts of design, development and implementation of risk assessment and determining control
concerns with safety. Organisation ensure safety related compliance as per legal requirements. They
plan for conducting different types of safety activity like safety inspection, safety training, Formation &
safety committing meeting schedules, Safety survey, safety audit etc. for controlling Risk at workplace.
The planning address to setting safety related objectives, identifying hazard, assessing Risk and Taking
adequate measure to controlling risk.
Effective planning is concerned with designing, developing and ensuring suitable management
arrangements, precautions at workplace and their associated risk control systems proportionate to the
needs, hazards and risks of the organization and operating, maintaining and improving the system to suit
changing needs and process hazards and risks. Identifying legal and other requirements and ensure their
compliance. Prepare emergency plan, for saving human lives and environment during emergency like
fire, explosion, structure collapse, Toxic gas leakage etc.
2.3 Implementation & Operation
Different activity considered under planning stage must be executed for achieving organisation
objective. Organisation structure should be designed, approved and allocate safety Role &
Responsibilities to concern individuals. Conduct Safety Training, Safety awareness program &
documented it. Carry out Safety inspection, Safety Audit as per plan and Take necessary action as per
observation to eliminate hazards or Minimise risk. As per Hazard identification, Risk assessment and
determination control document, take adequate control measure to minimise Risk to Tolerable level.
Prepared emergency plan to be approved and implemented for minimising effect of any future
emergency such as fire, explosion, and structure collapse as soon as possible (ASAP). Make proper co-
ordination between each department and concern person. Communicate safety related message to all
organisational people, it will help to ensure safety related compliance.
2.4 Checking & corrective action
It includes Performance measurement, monitoring, Conducting Safety audit, Safety survey, Finding
non-conformity and taking appropriate corrective action. All Incident should be investigation and
corrective, preventive action should be taken to prevent similar future incident. Manage and keep all
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www.iseindia.in | 22
Safety record for future purposes. Measure, monitor and evaluate safety performance to determine the
effectiveness of risk management and if necessary, take preventive and corrective action.
2.5 Management review and continual improvement
Review and continually improve the Safety management system (SMS), with the objective for
improving Safety performance. As per IS 14489:1998, organisation can conduct Safety audit. Safety
personnel play major role to develop and implementing effective safety management system in a
organisation. Firstly organisation ensure element of Safety audit with the help of Code of practice on
occupational safety & Health audit, IS 14489. Safety policy, Organisation structure & Task allocation,
Safety Training, Monitoring, Reviewing, Reporting, emergency arrangement and resources are few
major element of safety audit. Safety audit help to find deviation of organisation and correcting them.
3. Effective Safety Management system in organization
Following are few major steps used to develop and implementing effective SMS:
▪ know your legal responsibilities, Top management set organisation objective and make a
commitment to health and safety
▪ Identify Non-conformity, assess Risk and manage risk at workplace.
▪ Impart training to aware to people, carry out supervision like activity and take necessary corrective
and preventive action.
▪ Report, record and investigate incidents including Near miss, corrective and preventive action to be
taken to avoid similar future incident.
▪ Involve to employees in safety Mgt. system to improve health and safety culture at workplace.
▪ Prepare and approve emergency plan and be ready for handling emergencies
▪ Reporting, Record keeping and necessary action to be taken for manage risk on priority basis.
Proper planning, organising, motivating, training & communicating play major role to ensure effective
SMS in any organisation.
4. Effect of Safety Management system
Safety Management system (SMS) has positive and negative impacts. Positive impacts is result of
effective SMS and it help to ensure safe work environment and increase to organisation safety
performance. Negative impact means Loss of organisational reputation, getting punishment by legal
authorities, Poor relation with stakeholder etc. Finally Poor safety mangement management system
hampered to business of organisation, So negative impact is always bad for organisation. So every
organisation prefer to improve their SMSs on priority basis for growing their business.
5. Recommendation
Know Legal responsibilities, set up objective and top management commitment to be signed and
communicated to all individual of organisation with their role and responsibilities. Identify hazard and
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www.iseindia.in | 23
control at work place by hazard control method. Eliminate the hazard, Isolate the hazard, Engineering
control method, Administrative control measure & PPE’s are the steps to control hazard. Firstly we try
to eliminate the hazard, if unable to eliminate then we control the hazard by next method. This method
is also known as Hierarchy of Hazard control technique help to create safe healthy work environment
and achieving zero harm.
Safety inspection, safety audit like activity should be carry our continual basis for finding non-
conformity and taking corrective action. All near miss like incident should be investigated and
preventive action must be taken to avoid similar future incident. All recommendations should be
specific, appropriate, proportionate, prioritized and timescaled. Safety training to be imparted and
reward program to be conducted regularly for increasing Safety awareness among people. All Safety
related record should be documented for future purposes. Safety policy should be revised and updated at
periodic interval as per organisation future objective for improving their Safety performance.
6. Summary
Safety Management System (SMS) plays vital role to grow any organisation. SMS help to identify
workplace non-conformity and Minimising Risk up to tolerable level. Safety performance increases due
to effective Safety management system. It helps to delegating and assigning clear role and responsibility
for getting Safety objective with in time frame. It minimises Direct and indirect cost those arises due to
incident, so productivity increase of organisation. Effective Safety management system also protect
from prosecution by legal authorities. An effective safety management system help to control risks at
workplace; fulfilling statutory requirements; developing positive culture, increasing moral and work
efficiency of person. It is also help to finding solution to improve safety performance and improving
business opportunities.
References:
▪ Bain, P. (1997). Human resource malpractice: the deregulation of health and safety at work in the United States and
Great Britain. Industrial Relations Journal, 28(3), 176-191.
▪ International Maritime Organisation (IMO) (1997). International safety management (ISM) code and guidelines on the
implementation of the ISM code.
▪ Crawley, F. K. (1999). The change in safety management for offshore oil and gas production systems. Institution of
Chemical Engineers, Trans. IChemE, 77 (B), 143–148.
▪ Mitchison, N., & Papadakis, G. A. (1999). Safety management systems under Seveso II: implementation and
assessment. Journal of Loss Prevention the Process Industries, 12, 43–51.
▪ Xiao, X., Marchant, E., & Griffit, A. (1993). Assuring the quality of fire safety systems in buildings. Fire Prevention,
261, 27–31.
▪ India, The Factories Act 1948 & The Building and Other Construction Workers' (Regulation of Employment and
Conditions of Service) Central Rules, 1998
▪ India, IS 14489:1998 Code of practice on occupational safety & Health audit & IS 18001
Available online at www.iseindia.in
News & Journal published by Institution of Safety Engineers (India) Vol. No. 2, Issue 3, July-September, 2019
www.iseindia.in | 24
▪ Boyd, C. (2003). Human Resource Management and Occupational Health and Safety. London: Routledge.
▪ Bain, P. (1997). Human resource malpractice: the deregulation of health and safety at work in the United States and
Great Britain. Industrial Relations Journal, 28(3), 176-191.
▪ Hale, A.R., & Hovden, J, Management and culture: The third age of safety. A review of approaches to organizational
aspects of safety, health and environment, 1998. In A.-M. Feyer, & A. Williamson (Eds.), Occupational Injury: Risk,
Prevention and Intervention (pp. 129-165). London: Taylor & Francis.
▪ Hopkins, A. (2005). Safety, Culture and Risk: The Organisational Causes of Disasters. North Ryde: CCH Australia
Limited.
▪ Petersen, D. (1978). Techniques of Safety Management. Second Edition. McGraw-Hill.
▪ Reese, C. (2008). Occupational Health and Safety Management: A Practical Approach. Baca Raton, Fl: CRC Press.
▪ Clarke, S. and Ward, K. (2006). The role of leader influence tactics and safety climate in engaging employees’ safety
participation. Risk Analysis, 26, 1175-1185.
▪ Burke, R., Clark, S. And Cooper, C. (2011) Occupational Health and Safety. Aldershot: Gower.
▪ Timpe, Psychology´s contributions to the improvement of safety and reliability in the man-machine
system. In B. Wilpert, & T. Qvale (Eds.), Reliability and safety in hazardous work systems, 1993
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News & Journal published by Institution of Safety Engineers (India) Vol. No. 2, Issue 3, July-September, 2019
www.iseindia.in | 25
Training Calendar
ISE (India) Training Calendar (October-2019 to December-2019)
Training Title/ Course Duration Schedule Location Remarks
ISE-SM (Safety Management at work place) 3 day or Min.24
hours Training 03/10/2019 to 05/10/2019 Raipur
ISE- ICCOHSEM (International Certificate
course in Occupational Health Safety & Env.
Mgt.)
Min. 96 hours
Training 11/10/2019 to 19/10/2019 Raipur
Exam Date
21/10/2019
Lead Auditor ISO 45001:2018 5 days 22/10/2019 to 26/10/219 Raipur Raipur
First Aid 1 days 29/10/2019 Raipur
ISE- ICCOHSEM (International Certificate
course in Occupational Health Safety & Env.
Mgt.)
E-learning Last Date of Registration
30/10/2019 Al-Hasa
Exam Date
15/11/2019
Lead Auditor ISO 14001:2015 5 day 04/11/2019 to 08/11/219 Raipur
ISE- ICCOHSEM (International Certificate
course in Occupational Health Safety & Env.
Mgt.)
Min. 96 hours
Training 11/11/2019 to 19/11/2019 Raipur
Exam Date
20/11/2019
ISE- ICCOHSEM (International Certificate
course in Occupational Health Safety & Env.
Mgt.)
Min. 96 hours
Training 11/11/2019 to 19/11/2019 Delhi
Exam Date
20/11/2019
ISE-SM (Safety Management at work place) 3 day or Min.24
hours Training 26/11/2019 to 28/11/2019 Raipur
Integrated Lead Auditor (ISO 45001:2018,
ISO 9001:2015, ISO 14001:2015) 5 day 02/12/2019 to 07/12/219 Raipur
ISE- ICCOHSEM (International Certificate
course in Occupational Health Safety & Env.
Mgt.)
Min. 96 hours
Training 09/12/2019 to 17/12/2019 Raipur
Exam Date
18/12/2019
ISE- ICCOHSEM (International Certificate
course in Occupational Health Safety & Env.
Mgt.)
E-learning Last Date of Registration
14/12/2019 Dammam
Exam Date
27/12/2019
Lead Auditor ISO 9001:2015 5 day 23/12/2019 to 27/12/219 Raipur
ISE-SM (Safety Management at work place) 3 day or Min.24
hours Training 30/12/2019 to 31/12/2019 Raipur
Diploma/ Post Diploma in industrial
Safety/Fire/Env. One year December 2019-20
Raipur/
Rampur
ISE- IDOHSEM (International Diploma in
Occupational Health Safety & Env. Mgt.) One year
Last Date of Registration
16/12/2019 Raipur
Exam Date
June 2020
(Proposed)
ISE- IDOHSEM (International Diploma in
Occupational Health Safety & Env. Mgt.) E-learning
Last Date of Registration
16/12/2019 Al-Hasa
Exam Date
June 2020
(Proposed)
Risk assessment & Control, Behaviour Based Safety, chemical safety in industries, Safety in construction
industries, Scaffolding safety, Petroleum & Gas industries safety, Ergonomics, Mock Drill, HAZOP study,
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News & Journal published by Institution of Safety Engineers (India) Vol. No. 2, Issue 3, July-September, 2019
www.iseindia.in | 26
Emergency planning, Disaster Mgt., Fire Safety, Environmental Mgt., EIA Like Training also conduct as per
organisational Need.
For more details visit www.iseindia.in or mail [email protected] Call +91-6266474225,
+91-8720831773
***